NCLEX-RN Basic Care & Comfort Exam 4
Practicee Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A Instant Download
Pdf
1. A nurse is assisting a client with morning hygiene after a stroke. Which
action best promotes independence?
A. Perform all hygiene tasks for the client
B. Encourage the client to complete tasks they can safely perform
C. Limit participation to prevent fatigue
D. Ask family members to provide hygiene care
Answer: B. Encourage the client to complete tasks they can safely perform
Rationale: Promoting independence maintains functional ability, improves self-
esteem, and supports rehabilitation while providing assistance only when
necessary.
2. A client is prescribed bed rest. Which intervention helps prevent pressure
injuries?
A. Restrict fluid intake
B. Massage reddened skin every shift
,C. Reposition the client at least every 2 hours
D. Place the client in one position for comfort
Rationale: Frequent repositioning relieves pressure on bony prominences and
reduces tissue ischemia that can lead to pressure injuries.
3. Which meal selection is most appropriate for a client on a low-sodium diet?
A. Ham sandwich and potato chips
B. Canned soup and crackers
C. Grilled chicken, steamed vegetables, and brown rice
D. Pepperoni pizza
Rationale: Fresh foods without processed meats or canned products contain
significantly less sodium.
4. A nurse is caring for a client with dysphagia after a stroke. Which action is
appropriate?
A. Use a straw for all liquids
B. Feed the client while lying flat
C. Position the client upright at 90 degrees during meals
D. Encourage rapid eating
Rationale: Sitting upright decreases aspiration risk and improves swallowing
effectiveness.
5. A client reports constipation. Which intervention should the nurse
recommend first?
A. Daily laxatives
B. Fluid restriction
C. Bed rest
D. Increase dietary fiber and fluid intake
, Rationale: Fiber and adequate hydration promote normal bowel elimination
before medication use is considered.
6. Which finding indicates adequate hydration?
A. Dark amber urine
B. Dry mucous membranes
C. Urine output of 40 mL/hour
D. Poor skin turgor
Rationale: Normal urine output is generally at least 30 mL/hour in adults,
indicating adequate kidney perfusion and hydration.
7. A client recovering from surgery asks for pain medication before
ambulation. What is the nurse's best response?
A. Delay medication until after walking
B. Refuse medication to prevent dependence
C. Administer the medication before activity as prescribed
D. Encourage activity without pain relief
Rationale: Managing pain before activity improves mobility and participation in
recovery.
8. Which intervention reduces nighttime sleep disturbances in hospitalized
clients?
A. Wake the client every hour
B. Schedule bathing at midnight
C. Cluster nursing care to minimize interruptions
D. Leave the television on overnight
Rationale: Grouping care activities reduces sleep interruptions and promotes
rest.
Practicee Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A Instant Download
1. A nurse is assisting a client with morning hygiene after a stroke. Which
action best promotes independence?
A. Perform all hygiene tasks for the client
B. Encourage the client to complete tasks they can safely perform
C. Limit participation to prevent fatigue
D. Ask family members to provide hygiene care
Answer: B. Encourage the client to complete tasks they can safely perform
Rationale: Promoting independence maintains functional ability, improves self-
esteem, and supports rehabilitation while providing assistance only when
necessary.
2. A client is prescribed bed rest. Which intervention helps prevent pressure
injuries?
A. Restrict fluid intake
B. Massage reddened skin every shift
,C. Reposition the client at least every 2 hours
D. Place the client in one position for comfort
Rationale: Frequent repositioning relieves pressure on bony prominences and
reduces tissue ischemia that can lead to pressure injuries.
3. Which meal selection is most appropriate for a client on a low-sodium diet?
A. Ham sandwich and potato chips
B. Canned soup and crackers
C. Grilled chicken, steamed vegetables, and brown rice
D. Pepperoni pizza
Rationale: Fresh foods without processed meats or canned products contain
significantly less sodium.
4. A nurse is caring for a client with dysphagia after a stroke. Which action is
appropriate?
A. Use a straw for all liquids
B. Feed the client while lying flat
C. Position the client upright at 90 degrees during meals
D. Encourage rapid eating
Rationale: Sitting upright decreases aspiration risk and improves swallowing
effectiveness.
5. A client reports constipation. Which intervention should the nurse
recommend first?
A. Daily laxatives
B. Fluid restriction
C. Bed rest
D. Increase dietary fiber and fluid intake
, Rationale: Fiber and adequate hydration promote normal bowel elimination
before medication use is considered.
6. Which finding indicates adequate hydration?
A. Dark amber urine
B. Dry mucous membranes
C. Urine output of 40 mL/hour
D. Poor skin turgor
Rationale: Normal urine output is generally at least 30 mL/hour in adults,
indicating adequate kidney perfusion and hydration.
7. A client recovering from surgery asks for pain medication before
ambulation. What is the nurse's best response?
A. Delay medication until after walking
B. Refuse medication to prevent dependence
C. Administer the medication before activity as prescribed
D. Encourage activity without pain relief
Rationale: Managing pain before activity improves mobility and participation in
recovery.
8. Which intervention reduces nighttime sleep disturbances in hospitalized
clients?
A. Wake the client every hour
B. Schedule bathing at midnight
C. Cluster nursing care to minimize interruptions
D. Leave the television on overnight
Rationale: Grouping care activities reduces sleep interruptions and promotes
rest.
